跨文化决策 - 跨文化决策
Alan Elbaum1, Lucia Kinsey2, Jeffrey Mariano3
1University of California San Francisco, San Francisco, USA. alan.elbaum@ucsf.edu.
Cancer treatment and research
|October 18, 2023
概括
本章探讨了对终身护理决策的文化谦逊的方法. 它旨在通过促进共享决策,使医疗提供者能够通过促进多样化的患者实现与目标一致的护理.
科学领域:
- 医学伦理 医学伦理
- 跨文化医疗保健 跨文化医疗保健
- 抚慰性护理是一种缓解性护理.
背景情况:
- 文化能力在终身护理中至关重要.
- 提供者和患者的文化价值观可能会发生冲突,特别是关于"美好的死亡"和治疗的徒劳.
- 现有的方法可能会导致对抗性范式.
研究的目的:
- 阐明一种以文化谦卑和结构能力为基础的终身护理方法.
- 赋予医疗服务提供者与文化多样性患者的决策能力.
- 在跨文化终身护理中摆脱对抗性范式.
主要方法:
- 在终身护理中的决策方向和临床场景的调查.
- 对文化能力文献的分析.
- 在两个场景中分析跨文化决策的案例研究分析.
主要成果:
- 确定文化多样性的患者的常见临床情景和考虑因素.
- 突出了由于不同的文化价值观和"好死"的愿景而产生的潜在冲突.
- 展示了以价值为基础的共享决策如何导致符合目标的护理.
结论:
- 文化谦卑和结构能力对于有效的终身护理至关重要.
- 由文化理解为基础的共享决策可以解决冲突并改善患者的治疗结果.
- 提供者可以被授权参与基于价值的决策,以实现符合目标的护理.
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